VISION SOURCE STUDIO 20/20
NPI 1700970423
Optometrist in Charlotte, NC
About Vision Source Studio 20/20 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION SOURCE STUDIO 20/20 (NPI 1700970423) is a healthcare organization registered as an optometrist in Charlotte, North Carolina and active in the NPI registry since October 2006. The organization lists Amir Khoshnevis, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vision Source Studio 20/20 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Vision Source Studio 20/20, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Charlotte, NC 28262
Charlotte, NC 28262
Charlotte, NC 28262
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carolina Family Eye Care Od PLLC's NPI number?
The NPI number for Carolina Family Eye Care Od PLLC is 1700970423. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Vision Source Studio 20/20.
Where is Carolina Family Eye Care Od PLLC located?
Carolina Family Eye Care Od PLLC is located at 2424 W Mallard Creek Church Rd Ste D, Charlotte, NC 28262. The listed phone number is (704) 295-0123.
What is Carolina Family Eye Care Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Carolina Family Eye Care Od PLLC enrolled in Medicare?
Yes. Carolina Family Eye Care Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Family Eye Care Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Carolina Family Eye Care Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Carolina Family Eye Care Od PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Carolina Family Eye Care Od PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carolina Family Eye Care Od PLLC was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vision Source Studio 20/20 · NPI 1700970423
Optometrist organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1700970423 (Entity type: Organization)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Carolina Family Eye Care Od Pllc
- **Organization subpart:** No
- **Authorized official:** Amir Khoshnevis, PHYSICIAN/OWNER
## Practice location
- **Address:** 2424 W MALLARD CREEK CHURCH RD, STE D, Charlotte, NC 28262-5800
- **Phone:** (704) 295-0123 · **Fax:** (704) 510-9239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2020
- **Other identifiers:** Medicaid 89093JG (NC); Other 017GH (NC); Other 1346242781 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1700970423) · Data from the CMS NPPES public registry.